University Dental Professionals
University Dental Professionals provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
5549 S Cornell AveChicago, IL 60637-1914 Not confirmed with CMS for 18 years — call before visiting
Phone: (773) 684-5702
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019018517 (IL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 019026856 (IL) |
| Dentist | Taxonomy 122300000X · Licence 019024994 (IL) |
| Dentist | Taxonomy 122300000X · Licence 019026908 (IL) |
| Dentist | Taxonomy 122300000X · Licence 019018517 (IL) |
Record details
| NPI number | 1548484793 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Beth Reckamp — Office Manager · (773) 684-5702 |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | July 22, 2008 |
| Mailing address | 5549 S Cornell Ave, Chicago, IL 60637-1914 |
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